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患者,男,27岁,司机。因发热、纳差、乏力、尿黄8天入院。患者常在外就餐,未到过外省。体查:急性病容,巩膜轻度黄染,肝肋下2cm,质地Ⅰ°,轻触痛,脾肋下未及。实验室检查:ALT251.5IU/L,BILIT33.1umol/L,乙肝血清标志物(HBVM)阴性,抗-HCV 阴性,抗-HAVIgM 阴性。抗-HEV 强阳性(ELISA 法,试剂由新加坡Diagnostic Biotechnology 公司提供)。患者经卧床休息,服用西利宾胺、茵枙黄口服液、能量合剂静滴等治疗1月余,肝功能恢复正常后出院。讨论本例临床表现为急性黄疸型肝炎,
Patient, male, 27 years old, driver. Due to fever, anorexia, fatigue, urine yellow 8 days admission. Patients often eat outside, have not been to other provinces. Physical examination: acute disease, scleral mild yellow dye, liver ribs 2cm, texture Ⅰ °, touch the pain, spleen and ribs yet. Laboratory tests: ALT251.5IU / L, BILIT33.1umol / L, hepatitis B serum markers (HBVM) negative, anti-HCV negative, anti-HAVIgM negative. Strong anti-HEV positive (ELISA method, the reagent provided by the Singapore Diagnostic Biotechnology company). Patients with bed rest, taking sylbine amine, Yin Huang oral solution, such as intravenous infusion of energy mixture for more than 1 month, liver function returned to normal after discharge. Discussion The clinical manifestations of acute jaundice hepatitis,